Individual provider Active NPI

Aleksandr I. Shor, DMD

  • General Practice Dentistry
  • Oakhurst, NJ
National Provider Identifier
1881742351
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
021514 Issued in NJ
Practice address
251 Monmouth Rd
Oakhurst, NJ 07755-1502
Phone
(732) 531-8533
Fax
(732) 531-0584
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 021514 NJ Primary

Addresses

Primary practice location

251 Monmouth Rd
Oakhurst, NJ 07755-1502

Mailing address

251 Monmouth Rd
Oakhurst, NJ 07755-1502
Phone (732) 531-8533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150526000647 NJ Order and Referring Only - DentistPractitioner - Dentist 1254651771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021514NJMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881742351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 MONMOUTH RD",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551502",
            "telephone_number": "732-531-8533",
            "fax_number": "732-531-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MONMOUTH RD",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551502",
            "telephone_number": "732-531-8533",
            "fax_number": "732-531-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOR",
        "first_name": "ALEKSANDR",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "021514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

Verify at the official NPI Registry.